Redeeming by Unlearning: A Critical Discourse Analysis of COVID ‐19 Vaccine Hesitancy on Facebook (original) (raw)

Social Media and Health Communication: Vaccine Refusal/Hesitancy

Handbook of Research on Representing Health and Medicine in Modern Media

The content presented in the media, especially with the element of fear, appears to be the most important factor in the formation and spreading of phobias related to diseases. Especially when it comes to epidemics, the influence of the media increases remarkably. Individuals now use digital media as the initial reference source, especially on issues related to their health, and tend to see social media as a reference platform. However, uncontrolled information, conspiracy theories, and information pollution spread through social media make the subject difficult to understand; online shared manipulative news, excessive and unfounded information cause fear and panic. These posts about vaccines affect the perception and attitude towards vaccines. In this study, the comments and social media posts will be analysed using content analysis and discourse analysis methods in order to reveal the effect of social media in vaccine rejection and hesitation.

Hesitancy towards COVID-19 vaccines on social media in Canada

Vaccine, 2022

To effectively end the pandemic, the acceptance of effective vaccines against COVID-19 is critical. Comments posted in online platforms act as a barometer for understanding public concerns regarding vaccination and can be used to inform communication strategies for the 'moveable middle'. The aim of this exploratory study was to identify online dialogue regarding the nature of vaccine hesitancy related to COVID-19 vaccine(s). We analyzed user comment threads in response to news reports regarding COVID-19 vaccines on the Canadian Broadcasting Corporation national news website (with as many as 9.4 million unique visitors per day). User comments (n = 1145) were extracted from 19 articles between March 2020 and June 15th, 2020. Comments were then coded inductively for content to establish a coding framework that was subsequently applied to the dataset. Our data provide empirical support for misrepresentation as a form of misinformation and further demonstrate the utility of social media content as data for social research that informs public health communication materials. The data point to the need for, and value of, rapid communication interventions to foster vaccine acceptance. False information will continue to create challenges for delivering COVID-19 vaccines. Communication strategies to get ahead of the pace of misinformation are critical, particularly in light of boosters and the possibility of COVID-19 vaccination on an annual basis.

“How can I keep quiet?” Motivations to participate in vaccination communication on Facebook

Communications

Risk and crisis communication (RCC) is a complex constellation of multiple actors, platforms, and voices. It involves institutional actors but also laypeople. Participation by social media users can both facilitate and obstruct effective RCC. The present study draws on in-depth interviews with Swedish Facebook users, and explores motivational factors for lay participation in RCC in the context of vaccination utilizing Peter Dahlgren’s (2011) model. The contributions of this study are threefold. First, it identifies three dominant clusters of participation motivations: personal interest, information brokerage, and persuasion. Second, the results show that Facebook sociality is characterized by asynchronous communication, loops, and widespread hostility. Third, degrees of content visibility set up “zones of peace” (backstage, safe communication spaces) and “zones of fight” (frontstage, open sub-arenas where various views on vaccination are debated). Moreover, the study finds that thes...

Development of a Codebook of Online Anti-Vaccination Rhetoric to Manage COVID-19 Vaccine Misinformation

2021

Vaccine hesitancy (delay in obtaining a vaccine, despite availability) represents a significant hurdle to managing the COVID-19 pandemic. Vaccine hesitancy is in part related to the prevalence of anti-vaccine misinformation and disinformation, which are spread through social media and user-generated content platforms. This study uses qualitative coding methodology to identify salient narratives and rhetorical styles common to anti-vaccine and COVID-denialist media. It organizes these narratives and rhetorics according to theme, imagined antagonist, and frequency. Most frequent were narratives centered on “corrupt elites” and rhetorics appealing to the vulnerability of children. The identification of these narratives and rhetorics may assist in developing effective public health messaging campaigns, since narrative and emotion have demonstrated persuasive effectiveness in other public health communication settings.

Infodemic on Social Media and COVID-19 Vaccine Hesitancy

Journal of Medical Globalization, 2022

This study aims to understand the current COVID-19 vaccine hesitancy context and measures to overcome it. Assessing the challenge faced by campaigns against the vaccination on social media is vital, considering the emergence of the COVID-19 pandemic. Moreover, though there has been substantial advancement in vaccines over the last century, the re-emergence of vaccine-preventable infections has prompted the World Health Organization to recognize vaccine hesitancy as a significant challenge to public health. The strategies among the general public for the hesitancy to use any vaccines for the initial period might well be fueled by health information gathered from a range of outlets, especially social media. This is a significant public health issue and may compromise people into not using the vaccines. Therefore, there is a strong need for social media to control that false plethora of information and promote the message from internationally recognized and trusted organizations and the government bodies of respective countries. This study explores infodemic in social media and its impact on utilizing the COVID-19 vaccine. This review results can benefit further public health interventions related to vaccine utilization.

What are they saying? A speech act analysis of a vaccination information debate on Facebook

Canadian Journal of Information and Library Science-revue Canadienne Des Sciences De L Information Et De Bibliotheconomie, 2021

The global resurgence of vaccine preventable diseases is garnering attention amid the COVID-19 pandemic. Vaccination information debates in a Facebook group give participants access to second-hand knowledge conveying personal experiences. Through the lens of Speech Act Theory, this study analysed discourses on pro-and anti-vaccination perspectives along with views from vaccine hesitant groups. Analysis reveals significant criticism of behaviour around information. Findings indicate provision of substantiating information would play a crucial role in debate within divergent information contexts. Application of Speech Act Theory serves to inform participant communication more intimately and empowers their engagement in polarized discussion.

Choosing COVID-19 treatment over prevention through vaccination: A U.S. social media case study

Qualitative Health Communication, 2023

Background: This study examined anti-vaccination social media posts that favored COVID-19 treatment (monoclonal antibodies (mAbs)) rather than prevention through vaccination, both of which were under Emergency Use Authorization rather than full approval from the U.S. Food and Drug Administration at the time of this study. Our research stemmed from participation in a U.S. public health education campaign led by a coalition of government agencies to expand provider and health system use of mAbs with high-risk COVID-19 positive patients. Aim: Inform real world communication strategies for treatment over prevention therapies. Methods: We analyzed the most-engaged tweets that mentioned mAbs and vaccines from March 1 to August 31, 2021. Results: Our qualitative analysis identified the following themes: distrust in science, individualism, and politically oriented or partisan sentiment. Discussion: Countering anti-vaccine messages and reducing the susceptibility of vaccine-hesitant individuals to these messages must involve message design that considers the individualism and distrust revealed in this study. We recommend two approaches: (1) unmasking anti-vaccine messaging techniques; (2) using colloquial and values-driven language. Conclusions: Our findings reinforce the need for public health practitioners to monitor public and social media discourse, adopt messaging that navigates antivaccine sentiment, and engage with the preference for treatment over prevention.

Long Covid: Online patient narratives, public health communication and vaccine hesitancy

Digital Health, 2021

Introduction: This study combines quantitative and qualitative analyses of social media data collected through three key stages of the pandemic, to highlight the following: • 'First wave' (March to May, 2020): negative consequences arising from a disconnect between official health communications, and unofficial Long Covid sufferers' narratives online. • 'Second wave' (October 2020 to January 2021): closing the 'gap' between official health communications and unofficial patient narratives, leading to a better integration between patient voice, research and services. • 'Vaccination phase' (January 2021, early stages of the vaccination programme in the UK): continuing and new emerging concerns. Methods: We adopted a mixed methods approach involving quantitative and qualitative analyses of 1.38 million posts mentioning long-term symptoms of Covid-19, gathered across social media and news platforms between 1 January 2020 and 1 January 2021, on Twitter, Facebook, Blogs, and Forums. Our inductive thematic analysis was informed by our discourse analysis of words, and sentiment analysis of hashtags and emojis. Results: Results indicate that the negative impacts arise mostly from conflicting definitions of Covid-19 and fears around the Covid-19 vaccine for Long Covid sufferers. Key areas of concern are: time/duration; symptoms/testing; emotional impact; lack of support and resources. Conclusions: Whilst Covid-19 is a global issue, specific sociocultural, political and economic contexts mean patients experience Long Covid at a localised level, needing appropriate localised responses. This can only happen if we build a knowledge base that begins with the patient, ultimately informing treatment and rehabilitation strategies for Long Covid.

Disinformation, vaccines, and Covid-19. Analysis of the infodemic and the digital conversation on Twitter

Revista Latina de Comunicación Social, 2021

Introduction: The debate on the Covid-19 vaccines has been very present on social networks since the very beginning of the health crisis, in a context of infodemics in which the presence of all kinds of information has been a breeding ground for misinformation or false news. Methodology: In this context, this article seeks to measure and characterize the conversation about Covid-19 vaccines on the social network Twitter. To this end, 62,045 tweets and 258,843 retweets from supporters and opponents of the vaccine were analyzed between December 2020 and February 2021. Results: The start of the vaccination campaign was the turning point at which pro-vaccine discourse began to take precedence over anti-vaccine discourse. Antivaccine groups are characterized by being strongly cohesive clusters, with an appreciable level of activity, but with less capacity to viralize content. Conclusions and discussion: Anti-vaccine discourses tend to rely on alternative media or content shared on social networks, which corroborates that quality information is one of the main measures against disinformation. It also highlights the role of quality or legacy media and the desirability of further developing anti-disinformation policies specific to the type of digital conversation taking place on Twitter.